OrganizationActive
Balanced Life Health Care Solutions LLC
NPI 1730618265 · Primary Care Clinic/Center · Lawrenceville, GA
Provider details
- NPI number
- 1730618265
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tonita Washington, Fnp/Provider Manager(770) 331-6475
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
555 Old Norcross Rd Ste 250
Lawrenceville, GA 30046-8703
Phone: (770) 696-4541
Fax: (770) 271-9787
Approximate (ZIP-level) locationGet directions
Mailing address
555 Old Norcross Rd Ste 250
Lawrenceville, GA 30046-8703
Registry dates
- Enumerated
- 2017-06-08
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.